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Iatrogenic Duodenal Injuries - Department of Surgery at SUNY ...

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HD #3<br />

www.downst<strong>at</strong>esurgery.org<br />

Case<br />

• Explor<strong>at</strong>ory laparotomy<br />

• 5 mm perfor<strong>at</strong>ion l<strong>at</strong>eral aspect <strong>of</strong> 2 nd portion <strong>of</strong><br />

duodenum with active leak <strong>of</strong> bile and air<br />

• GB appeared thickened and inflamed<br />

• Primary closure and omentoplasty<br />

• JP drain

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